Edema after laparoscopy

Laparoscopy is a low-traumatic method of performing surgical and abdominal examinations.

Laparoscopy is performed as follows:

  1. The procedure is performed in the operating surgeon by a surgeon
  2. A person who is undergoing laparoscopy is under general anesthesia. During the operation, he does not feel anything.
  3. The surgeon makes several small incisions (up to 1.5-2 cm in length) on the human skin, and then deepens the incisions with a blunt probe in order not to injure internal organs.
  4. Depending on the purpose of the operation, the incisions may be located in different parts of the abdomen. Usually, for one operation, 3 or 4 small holes are made.
  5. After making holes, the doctor inserts special tubes into them, through which sterile surgical instruments are then inserted.
  6. Through one of the tubes in the stomach, a small amount of carbon dioxide is introduced, which spreads the stomach and makes the internal organs accessible for inspection.
  7. Through other tubes the doctor enters the video camera and surgical instruments.
  8. With the help of a video camera, the doctor receives a video image of the operated organ.
  9. The doctor performs the necessary actions, observingimage in the monitor. For example, in patients with cholecystitis, removal of the gallbladder can be performed, and in women with an ectopic pregnancy, removal of the embryo that is not properly attached can be performed.
  10. After performing all the actions the doctor takes out all the tools and puts seams on the holes.

What is chromotubic during laparoscopy?

In those cases when doctors lead a laparoscopyto determine the patency of the fallopian tubes and to search for possible causes of infertility, in addition to the external inspection of the fallopian tubes during laparoscopy, a so-called chromotubation (syn. chromohydrobubation ).

Chromotubation consists in the following: with the help of a special catheter the doctor inserts a sterile solution of the coloring substance into the uterine cavity of the examined woman.

If the fallopian tubes of a woman are passable - thenThe solution from the uterine cavity begins to flow from the fallopian tubes into the cavity of the small pelvis. The doctor can see this with a probe located in this area. On the contrary, if the fallopian tubes (one or both) are impassable - the solution from the uterine cavity does not flow out of the fallopian tubes.

What are the advantages of laparoscopy compared to conventional operations?

The main advantages of laparoscopy are as follows:

  • Less tissue trauma, compared with large incisions during normal operations
  • Recovery is several times faster and easier. Within a few hours after the operation, the patient can walk and take care of himself
  • Reducing the risk of infections, seam divisions, the formation of adhesions after surgery
  • Lack of large ugly scars

What operations and examinations can be performed using laparoscopy?

Laparoscopic surgery is performed to remove or restore the patient's internal organs. Currently, the following types of laparoscopy are available:

  • Removal of the gallbladder in cholelithiasis and cholecystitis
  • Removal of appendix in appendicitis
  • Removal or restoration of the kidneys, bladder and ureters
  • Removal or ligation of the fallopian tubes for sterilization purposes
  • Delete ectopic pregnancy
  • Treatment endometriosis
  • Treatment Polycystic Ovary Syndrome (PCOS)
  • Treatment of a hernia
  • Operations on the stomach
  • Examination of the liver and pancreas
  • Examination and removal ovarian cysts
  • Delete uterine fibroids
  • Delete adhesions in the area of ​​fallopian tubes
  • Detection and stopping of internal bleeding

How to prepare for laparoscopy?

Typically, surgeons discuss preparing for surgery with each patient separately.

As a rule, doctors recommend:

  • Refuse to eat and drink at least 8 hours before surgery
  • Shave the belly (for men)
  • A few hours before the operation, an enema (in some cases)

Before surgery, tell the doctor to the surgeon,What medications do you take. Some drugs (aspirin, birth control pills) can affect blood coagulability and are therefore contraindicated during or before laparoscopy.

Possible complications and consequences of laparoscopy

Dangerous complications after laparoscopy happenextremely rare. Most people tolerate this surgery well and recover quickly after it. Be sure to discuss with your doctor how the operation will be performed in your case and ask what the risks may be.

When should I see a doctor?

Before discharge from the hospital, the doctor should tell you when to return for a second inspection or removal of the sutures.

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As soon as possible, consult a doctor if, after returning home, you have:

  • High fever (above 38 C), chills
  • Fainting (loss of consciousness)
  • Severe abdominal pain, nausea, vomiting, which do not stop for several hours
  • Severe edema, suppuration, or redness in the area of ​​postoperative wounds
  • Bleeding from a wound
  • You have noticed that it is difficult for you to urinate or that urine flow has stopped.

Usually recovery after laparoscopy occurs within a few days, that is, much faster than after a routine operation, during which a large incision is made.

In some cases, a person can go home the same day after the operation.

After a laparoscopy, you may be disturbed by:

Pain in the area of ​​postoperative wounds and in the abdomen

After laparoscopy in the area of ​​incisions, there may berather strong pains, which increase with each movement. This is completely normal. Usually, such pains do not require special treatment. If it's hard for you to bear the pain - tell the doctor about it - he will prescribe an anesthetic for you.

Also after laparoscopy may be presentpain in the middle of the abdomen, pain in the lower abdomen (in the uterus and ovaries), pain in the lower back. Usually, such pains last for 2-3 days. In order to reduce pain, try to rest more. If the pain becomes unbearable - see a doctor, as this may be a sign of complication after surgery.

Bloating, nausea, weakness

Bloating is often observed after variousoperations, including after laparoscopy. In order to eliminate a strong bloating, in the first days after laparoscopy it is recommended to take medicine based on simethicone.

Also, after laparoscopy, weakness, mild nausea, lack of appetite, frequent urge to urinate . Usually these symptoms pass quickly, within 2-3 days and do not require any treatment.

The incisions made during laparoscopy, heal quickly and, as a rule, without complications. Seams can be removed 10-14 days after surgery or even earlier.

In the first few months, small scarring scars may remain in place of the incisions, which turn pale and become invisible during the next few months.

For several hours or just the first day after laparoscopy, it is recommended to refrain from eating. You can drink non-carbonated mineral water.

On the 2nd and 3rd day you can start eating easily digestible products: skimmed yogurt, yogurt, crackers, broth, lean meat, fish, rice.

In the following days, depending on the state of health, you can return to normal nutrition.

Before you go home, try to discuss with your doctor the diet after the operation.

Physical activity after laparoscopy

For 2-3 weeks after laparoscopy, it is recommended to abandon any physical activity and exercise. Then it is possible to gradually return to normal physical loads.

Return to sex after laparoscopy is possiblealready in 1-2 weeks after the operation. However, further discuss this issue with your doctor if in your case the operation was carried out for a gynecological disease.

Restoration of menstruation and vaginal discharge after laparoscopy

After laparoscopy performed for treatmentgynecological diseases may appear poor mucous or bloody discharge from the vagina, which can persist for 1-2 weeks. Such discharge should not cause concern.

Be sure to consult a doctor if after laparoscopy you have strong bloody discharge from the vagina. Such discharge can be a sign of internal bleeding.

After laparoscopy, menstruation may be delayed - from several days to several weeks. This should also not cause concern. Additional recommendations on this subject are provided in the article Delay of menstruation .

Pregnancy planning after laparoscopy

Laparoscopy is very often used ingynecology for the diagnosis and treatment of various diseases that are accompanied by infertility (endometriosis, fibroids, adhesions in the abdominal cavity, ovarian cysts, PCOS, reconstruction of the fallopian tubes, etc.). Planning pregnancy is possible in a few months after a successful operation.

Due to the fact that in most cases, treatmentis limited not only to the operation, but also to the intake of various medications that can affect a woman's ability to conceive a child, only the attending physician who is familiar with the history of the woman's illness can determine precisely the tactics of pregnancy planning.

The chances of pregnancy after laparoscopy depend on the causes of infertility that were before the treatment, as well as the effectiveness of the treatment.

Below you will find answers to the main questions related to transvaginal hydrolaparoscopy.

What is a transvaginal hydrolaparoscopy?

Transvaginal hydrolaparoscopy (TGL) is a test that allows doctors to examine the area of ​​the uterus, the appendages of the uterus and the walls of the small pelvis.

As will be detailed below, during the TGLdoctors, through a small incision inside the vagina, inject a small probe into the cavity of the small pelvis of the woman, which allows you to inspect all internal organs in this area and perform micro-operations, if necessary.

In those cases when simultaneously with transvaginal hydrolaparoscopy, sapingoscopy and hysteroscopy are performed, the examination is called Fertiloscopy. This name is due to the fact that suchThe examination allows doctors to identify all possible causes of infertility (that is, violations of a woman's fertility) that can be associated with the uterus, fallopian tubes, ovaries and pelvic area.

A detailed explanation of the cause of infertility and answers to the main questions related to difficulties with conception of the child are presented in an article on infertility.